Your Colon Can`t Wait: How Early Detection Can Save Your Life
Your Colon Can't Wait: How Early Detection Can Save Your Life March 24, 2015 In Partnership with In Donald Nease, MD Associate A i Professor P f off Family F il Medicine M di i University of Colorado Colon Cancer: P Preventable, t bl Treatable, T t bl Beatable B t bl • • • • Largely Preventable Disease If Diagnosed Early, It is Treatable 137,000 , People p Newlyy Diagnosed g in US Annuallyy with Colon Cancer Nearly 50,000 Deaths Annually Colon Cancer: P Preventable, bl Treatable, T bl Beatable B bl • #2 Cause Ca se of Cancer Mortalit Mortality in Non-Smoking Non Smoking Males and Females • In the US, There are More than One Million Colon Cancer Survivors Colon Cancer Signs & Symptoms • Change in Bowel Habits • Diarrhea Di h or C Constipation ti ti • Change in Stool Consistency • Rectal Bleeding or Blood in the Stool • Persistent Abdominal Discomfort (e.g. Cramps, Gas, Pain) • Feeling that Bowel Doesn't Empty Completely • Weakness or Fatigue • Unexplained Weight Loss Colon Cancer Signs & Symptoms • Colon Cancer Doesn’t Have Age Limits • If You are Experiencing Any of the Symptoms Described, Talk to Your Doctor about Getting Screened • If You are 50 and Over Talk to Your Doctor about Making Screening Part of Your Prevention Plan Best Screening Test is Th One The O That Th t Gets G t Done D • Many Legitimate Reasons Why People Choose a Test Other than Colonoscopy • Privacy • Time Required for Completion • Need for an Accompanying Person, etc. Best Screening Test is Th One The O That Th t Gets G t Done D • If You Are Not at High Risk, There are Options • Your Doctor Can Help You Choose the Right Test for You – Follow Up is Important – Did It Get Done? – Was W it Positive? P iti ? Other Options What & How Frequency Stool Guaiac Fecal Stool Guaiac Fecal Occult Blood Test (FOBT) Tests for blood Tests for blood Swab bowel movement onto cards Every year with High Every year with High Sensitivity Stool Immunochemical (FIT) Tests for blood Swab bowel movement onto card Annually Stool DNA (Cologuard) Tests for abnormal DNA – Every 3 Years send bowel movement Flexible Sigmoidoscopy Looks for polyps – done in doctors’ office Every 5 Years, May Combine with Annual Stool Test Pros and Cons Pros Stool Guaiac Fecal Occult • No Prep Blood Test • Done at Home (FOBT) • Inexpensive Cons • Accuracy • Dietary Restrictions • Colonoscopy if Positive Stool Immunochemical Stool Immunochemical (FIT) • • • • Stool DNA (Cologuard) • No Prep • No Dietary Restrictions • Done at Home • Expensive • Colonoscopy of Positive Flexible Sigmoidoscopy • No Sedation • Can Biopsy • Every 5 Year Test • Only views part of colon • Colonoscopy if Positive No Prep No Dietary Restrictions Done at Home Fairly Inexpensive • Accuracy • Colonoscopy if Positive Keys to Remember • Talk to Your Doctor about Your Preferences • Pick the Test that’s Right for You • Commit to yyour Test! Carroll Jean Anderson P Proponent off At-Home A H SStooll Testing T i Carroll’s FIT Experience • Prefer FIT Test over Colonoscopy • Directions are Easy to Follow • “Yuck Factor” is Minimal • Completed Second FIT Test at the End of February. • Results were Negative • Results of Previous FIT Test were also Negative . Carroll’s Take-Away Message • FIT Test is Easyy • Can be Done at Home • Screening S i Saves S Lives! Li ! . David A. Greenwald, MD Director off Cli Di Clinical i l Gastroenterology G l andd Endoscopy Ed Mount Sinai Medical Center New York, New York Colon Cancer Develops from Polyps: Focus on Colon Cancer Prevention • Wh Whatt are PPolyps? l ? • Polyps are Pre-Cancerous Growths on the Lining of the Colon Colon Cancer Develops from Polyps: Focus on Colon Cancer Prevention • • • • Little Polyps Turn into Big Polyps Big Polyps Turn into Cancer P Process T k Many Takes M Years Y Removal of the Polyp at Any Point Prevents Colon Cancer Colonoscopy 101 • Simple and Safe Procedure • Your Doctor Uses a Long Tube with a Light and a Camera to Look for Polyps Colonoscopy 101 • Removes Polyps • Decreases Risk of Colon Cancer Colonoscopy 101 • Procedure is Painless • Most Patients are Fully Sedated • Total Procedure Time is Well Under an Hour • Patient Return to Full Activity the Next day Colonoscopy 101: Pre-procedure • Diet Modifications – Clear Liquids on the Day Prior • Soupp Broth • Ice Pops • Gelatins – Most Medications are Continued Colonoscopy 101: Pre-Procedure Preparation • Most People Believe this is the Worst Part • 2 to 4 Liters of Fluid, Split into Two Doses and Generally Many Hours Apart • Causes Diarrhea which is Necessary to Clean Out the Intestine This is the Most Critical Step, so the Doctor can see the Colon Lining and Detect Polyps Colonoscopy 101: The Procedure • • • • Most People are Sedated Painless Duration of 30-60 Minutes If Polyps Found, They Can be Removed Immediatelyy • Polyps Sent to Laboratory for Analysis Colonoscopy 101: Polyp Removal Colonoscopy 101: Post-Procedure • • • • • Most Patients are Fully Awake 5-15 Minutes After the Procedure Some Gas and Bloating, but Quickly Resolves You Can Eat! Must Have an Escort Home No Driving or Life Changing Decisions until Next Day Colonoscopy: Barriers • Fear – Prep – Pain – Complications – Results • Embarrassment • Financial Colonoscopy • • • • Crucial to Colon Cancer Prevention Allows Both Polyp Detection and Removal Eliminate Barriers and Save Lives Colon Cancer Incidence and Death Rates from Colon Cancer Both Decreasingg Jessica Lee C l Cancer Colon C SSurvivor, i Stage S II Jessica’s Story • Applied for the Blue Hope Prevention Award in July 2014 • Symptoms: • Sharpp Abdominal Pain • Diarrhea • Nausea • Cramping • Loss of Appetite Jessica’s Story • Colonoscopy completed September 5, 2014 through Blue Hope Prevention Award • Results: • Received cancer diagnosis September 8, 2014 • Had surgery g y September p 22, 2014 • Declared cancer-free September 24, 2014 Jessica’s H Happy E Ending di • I am Cancer Free! • Screening S i Saved S d My Life! if ! • Thank You, ou, Co Colon o C Cancer ce Alliance! ce! Learn more: www.ccalliance.org Connect with Us Colon Cancer Alliance E il [email protected] Email: i f @ lli Call the Helpline: 1-877-422-2030 Web: ccalliance.org Health Matters at Work (A Program of Community Health Charities) Web: healthmattersatwork.org
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